Claim and encounter addresses

To decrease administrative costs and improve cash flow, clinicians and facilities are encouraged to use electronic claim submission whenever possible.

When it is necessary to submit paper claims, you can use the addresses below. Please keep in mind, however, that the claim or encounter mailing address on the member’s identification card is always the most appropriate to use.

Valid National Provider Identifiers (NPIs) are required on all electronic claims and strongly encouraged on paper claims.

Paper claim and encounter submission addresses

Humana medical claims:

Humana Claims

P.O. Box 14601

Lexington, KY 40512-4601

HumanaDental® claims:

HumanaDental Claims

P.O. Box 14611

Lexington, KY 40512-4611

Humana encounters:

Humana Encounters

P.O. Box 14605

Lexington, KY 40512-4605

Claim overpayments:

Humana

P.O. Box 931655

Atlanta, GA 31193-1655

HumanaOne® claim submissions:

HumanaOne

P.O. Box 14635

Lexington, KY 40512-4635

Claims submission time frames

Health care providers are encouraged to take note of the following claims submission time frames:

Medicare Advantage: Claims must be submitted within one calendar year from the date of service.

Commercial: Claims must be submitted within the time stipulated in the provider agreement or the applicable state law. Generally, these claims must be submitted within:

180 days from the date of service for physicians

90 days from the date of service for facilities and ancillary providers

When a claim is submitted in error to a carrier or agency other than Humana, the timely filing period begins as of the date the provider was notified of the error by the other carrier or agency.

Billing guidelines for roster bills submitted on paper claims

Physicians and other health care providers should follow the billing guidelines below when submitting roster bills to Humana:

Physicians and health care providers may submit multiple documents in a single large envelope.

Documents may include information regarding multiple patients.

Physicians and health care providers may submit CMS 1500 forms or UB04 forms with an attachment listing multiple patients receiving the same service. The claim form should have the words "see attachment" in the "Member ID" box.

“Humana” is the brand name for plans, products, and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (“Humana Entities”). Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state.

Humana group life plans are offered by Humana Insurance Company, Humana Insurance Company of Kentucky, or Kanawha Insurance Company.

Long Term Disability and Short Term Disability

Humana long term disability and short term disability plans are offered by Kanawha Insurance Company or Humana Insurance Company.

Workplace Voluntary Benefits

Humana Cancer, Critical Illness, Accident, Hospital Indemnity, Life and Disability Income plans are insured by Humana Insurance Company, Kanawha Insurance Company, or Humana Insurance Company of New York.

Please click here to view a complete list of the legal entities that offer, underwrite, administer or insure insurance products and services.

Limitations and exclusions

Our health benefit plans, dental plans, vision plans, life and supplemental plans, workplace voluntary benefit products, long term disability plans, and short term disability plans have exclusions, limitations, and terms under which the coverage may be continued in force or discontinued. Our dental plans, vision plans, life and supplemental plans, workplace voluntary benefit products, long term disability plans, and short term disability plans may also have waiting periods. For costs and complete details of coverage, call or write Humana or your Humana insurance agent or broker.

Individual applications are subject to eligibility requirements.

Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. The plan provisions are available here or through your sales representative.

For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description) for more information on the company providing your benefits.

Statements in languages other than English contained in the advertisement do not necessarily reflect the exact contents of the policy written in English, because of possible linguistic differences. In the event of a dispute, the policy as written in English is considered the controlling authority.